Anesthesiologists' perceptions of minimum acceptable work habits of nurse anesthetists - 18/04/17
Abstract |
Study objective |
Work habits are non-technical skills that are an important part of job performance. Although non-technical skills are usually evaluated on a relative basis (i.e., “grading on a curve”), validity of evaluation on an absolute basis (i.e., “minimum passing score”) needs to be determined.
Design |
Survey and observational study.
Patients |
None.
Interventions |
None.
Measurements |
The theme of “work habits” was assessed using a modification of Dannefer et al.'s 6-item scale, with scores ranging from 1 (lowest performance) to 5 (highest performance). E-mail invitations were sent to all consultant and fellow anesthesiologists at Mayo Clinic in Florida, Arizona, and Minnesota. Because work habits expectations can be generational, the survey was designed for adjustment based on all invited (responding or non-responding) anesthesiologists' year of graduation from residency.
Main results |
The overall mean±standard deviation of the score for anesthesiologists' minimum expectations of nurse anesthetists' work habits was 3.64±0.66 (N=48). Minimum acceptable scores were correlated with the year of graduation from anesthesia residency (linear regression P=0.004). Adjusting for survey non-response using all N=207 anesthesiologists, the mean of the minimum acceptable work habits adjusted for year of graduation was 3.69 (standard error 0.02).
The minimum expectations for nurse anesthetists' work habits were compared with observational data obtained from the University of Iowa. Among 8940 individual nurse anesthetist work habits scores, only 2.6% were <3.69. All N=65 of the Iowa nurse anesthetists' mean work habits scores were significantly greater than the Mayo estimate (3.69) for the minimum expectations; all P<0.00024.
Conclusions |
Our results suggest that routinely evaluated work habits of nurse anesthetists within departments should not be compared with an appropriate minimum score (i.e., of 3.69). Instead, work habits scores should be analyzed based on relative reporting among anesthetists.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Work habits are non-technical skills that are an important part of job performance. Nurse anesthetists’ work habits can be assessed daily. |
• | Nurse anesthetists’ work habits can be assessed daily on a 1 (lowest performance) to 5 (highest performance) scale. |
• | By survey, the mean minimum acceptable work habits was 3.69, SE=0.02. |
• | In practice, all nurse anesthetists’ mean work habits scores are significantly greater than these minimum expectations. |
• | As for most non-technical skills, employed non-trainees can be compared on a relative (ranked) basis. |
Keywords : Performance evaluation, Nurse anesthetists, Work habits
Plan
Vol 38
P. 107-110 - mai 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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